Manager, Reimbursement and Payment Policy

Johnson & Johnson

. Develop and execute payment policy strategy for the Orthopaedics portfolio across Medicare payment systems .

Posted 10/13/2026full-timeUnited StatesMid-LevelSenior💰 $102,000 - $177,100 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in reimbursement strategy development and execution within the Orthopaedics portfolio, with a strong focus on Medicare payment systems and coding frameworks. Capable of managing vendor relationships and ensuring compliance with healthcare policies while delivering actionable insights and training to cross-functional teams.

Highest-signal resume keywords

Reimbursement Strategy DevelopmentU.S. Reimbursement Systems KnowledgeCoding Frameworks ExpertiseVendor Management ExperienceAnalytical and Project Management Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medicare Payment StructuresCPT CodingHCPCS CodingICD-10-CM/PCS CodingCMS Regulations InterpretationReimbursement AssessmentsPolicy AnalysisProject ManagementData AnalysisHealthcare Compliance

Soft Skills

Excellent Written CommunicationExcellent Verbal CommunicationProblem-Solving SkillsAbility to Work IndependentlyCross-Functional Collaboration

Tools & Technologies

Reimbursement HotlinesResource LibrariesPerformance Metrics ToolsContent Management SystemsCompliance Tracking Systems

Certifications & Qualifications

CPCCCS

Industry Keywords

Health PolicyHealth EconomicsMarket AccessHealthcare ConsultingMedTechOrthopaedicsSurgical TechnologiesCMS RulemakingPayer Policy DevelopmentLifecycle Management

About the role

Key responsibilities & impact

Develop and execute payment policy strategy for the Orthopaedics portfolio across Medicare payment systems
Conduct research and analysis on coding, coverage, and payment positioning for pipeline and in-line products
Prepare reimbursement assessments for new product launches and lifecycle management
Monitor and analyze CMS proposed and final rules, Medicaid updates, and commercial payer policy updates
Summarize policy implications through executive alerts, briefs, and actionable insights
Manage projects and deadlines tied to CMS rulemaking and annual coding cycles
Manage the Orthopaedics Reimbursement Hotline, including vendor oversight, service levels, response quality, and escalations
Manage the hotline vendor relationship, including performance reviews, contracts, and scope
Ensure hotline operations comply with healthcare compliance, privacy, and company policies
Analyze inquiry logs and report customer, coding, and payer trends to HEMA and Commercial leadership
Lead annual updates and lifecycle management of coding and reimbursement guides, FAQs, and customer-facing resources
Manage content review, approval, version control, and publication calendars with Legal, Regulatory, and Compliance
Design and deliver coding, coverage, and payment training for sales, marketing, and customer-facing teams
Maintain reimbursement websites and resource libraries with cross-functional teams
Draft comment letters and background materials for CMS and other stakeholder engagements
Support external stakeholder interactions and conduct landscape assessments for advocacy and policy strategy
Partner with Health Economics and Epidemiology teams on evidence strategy and reimbursement access
Provide reimbursement inputs for Target Product Profiles and early-stage pipeline discussions
Synthesize clinical, economic, and real-world evidence to inform coverage strategies
Collaborate with Commercial, Regulatory, Legal, and Compliance to meet company and regulatory standards
Serve as an individual contributor with no direct reports

Requirements

What you’ll need

Bachelor’s degree in Health Policy, Health Economics, Public Health, Business, or a related field
5–10 years of relevant experience in reimbursement, health policy, market access, or healthcare consulting
Preferably experience in the medical device or life sciences industry
Working knowledge of U.S. reimbursement systems, including Medicare payment structures (IPPS/MS-DRG, OPPS/ASC, Physician Fee Schedule)
Knowledge of coding frameworks including CPT, HCPCS, and ICD-10-CM/PCS
Experience interpreting CMS regulations and translating them into business implications and written materials
Experience managing vendors, programs, or customer support operations, including performance metrics and compliance requirements
Strong analytical, research, project management, and problem-solving skills
Excellent written and verbal communication skills
Ability to work independently and manage multiple priorities
Ability to work effectively across cross-functional teams in a matrixed environment
Advanced degree (e.g., MPH, MPP, MBA) preferred
Experience in MedTech, orthopaedics, or surgical technologies preferred
Familiarity with CPT/HCPCS coding, CMS rulemaking, and payer policy development processes preferred
Experience with reimbursement hotlines, field reimbursement, or coding and reimbursement education preferred
Coding credential (e.g., CPC, CCS) or equivalent practical coding expertise preferred

Benefits

Comp & perks

Consolidated retirement plan (pension)
Savings plan (401(k))
Long-term incentive program
Vacation – 120 hours per calendar year
Sick time – 40 hours per calendar year; 48 hours for employees residing in Colorado; 56 hours for employees residing in Washington
Holiday pay, including Floating Holidays – 13 days per calendar year
Work, Personal and Family Time – up to 40 hours per calendar year
Parental Leave – 480 hours within one year of birth/adoption/foster care of a child
Bereavement Leave – 240 hours for an immediate family member; 40 hours for an extended family member per calendar year
Caregiver Leave – 80 hours in a 52-week rolling period
Volunteer Leave – 32 hours per calendar year
Military Spouse Time-Off – 80 hours per calendar year
Hybrid work arrangement
Inclusive interview process and disability accommodations